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间充质干细胞:在 2019 冠状病毒病治疗中崭露头角。

Mesenchymal stem cells: a new front emerges in coronavirus disease 2019 treatment.

机构信息

Department of Stem Cell Biology and Regenerative Medicine, Era's Lucknow Medical College Hospital, Era University, Lucknow, Uttar Pradesh, India.

Era University, Lucknow, Uttar Pradesh, India.

出版信息

Cytotherapy. 2022 Aug;24(8):755-766. doi: 10.1016/j.jcyt.2020.07.002. Epub 2020 Jul 15.

Abstract

Currently, treating coronavirus disease 2019 (COVID-19) patients, particularly those afflicted with severe pneumonia, is challenging, as no effective pharmacotherapy for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exists. Severe pneumonia is recognized as a clinical syndrome characterized by hyper-induction of pro-inflammatory cytokine production, which can induce organ damage, followed by edema, dysfunction of air exchange, acute respiratory distress syndrome, acute cardiac injury, secondary infection and increased mortality. Owing to the immunoregulatory and differentiation potential of mesenchymal stem cells (MSCs), we aimed to outline current insights into the clinical application of MSCs in COVID-19 patients. Based on results from preliminary clinical investigations, it can be predicted that MSC therapy for patients infected with SARS-CoV-2 is safe and effective, although multiple clinical trials with a protracted follow-up will be necessary to determine the long-term effects of the treatment on COVID-19 patients.

摘要

目前,治疗 2019 年冠状病毒病(COVID-19)患者,尤其是患有严重肺炎的患者具有挑战性,因为目前尚无针对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的有效药物治疗方法。严重肺炎被认为是一种临床综合征,其特征是促炎细胞因子过度诱导产生,这会导致器官损伤,随后发生水肿、气体交换功能障碍、急性呼吸窘迫综合征、急性心脏损伤、继发感染和死亡率增加。鉴于间充质干细胞(MSCs)的免疫调节和分化潜能,我们旨在概述 MSCs 在 COVID-19 患者中的临床应用的最新研究进展。基于初步临床研究的结果,可以预测 MSC 治疗感染 SARS-CoV-2 的患者是安全有效的,尽管需要进行多个长期随访的临床试验,以确定该治疗方法对 COVID-19 患者的长期效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ffd/7362822/cdb462226e6e/gr1_lrg.jpg

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